IndividualActive
Stephanie Owen, MS, ATC, LAT
NPI 1245720382 · Athletic Trainer · Johnson City, TN
Provider details
- NPI number
- 1245720382
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2076 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
Fax: (429) 282-0035
Street-level locationGet directions
Mailing address
215 Rockingham Rd Apt 14
Johnson City, TN 37615-4767
Additional practice locations (1)
- 875 Larry Neil WayKingsport, TN 37660-6368Phone: (423) 282-9011
Registry dates
- Enumerated
- 2018-05-15
- Last updated
- 2018-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.